Organization Active NPI

Sundentalcorp

  • Dentist
  • San Gabriel, CA
National Provider Identifier
1952789406
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37126 Issued in CA
Legal business name
SUNDENTALCORP
Practice address
1720 S San Gabriel Blvd Ste 101
San Gabriel, CA 91776-3975
Phone
(626) 288-9055
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Tze King Kor, DMDNPI 1053464347
Title
President
Phone
(626) 288-9055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37126 CA Primary

Addresses

Primary practice location

1720 S San Gabriel Blvd Ste 101
San Gabriel, CA 91776-3975

Mailing address

1720 S San Gabriel Blvd Ste 101
San Gabriel, CA 91776-3975
Phone (626) 288-9055

National Provider Directory

National Provider Directory

Locations

1720 S San Gabriel Blvd
Ste 101
San Gabriel, CA 91776
Phone (626) 288-9055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1952789406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S SAN GABRIEL BLVD STE 101",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763975",
            "telephone_number": "626-288-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S SAN GABRIEL BLVD STE 101",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763975",
            "telephone_number": "626-288-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDENTALCORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "KOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TZE KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.